Page:United States Statutes at Large Volume 91.djvu/1239

 PUBLIC LAW 95-142—OCT. 25, 1977

91 STAT. 1205

"(40) require each health services facility or organization Reports - • which receives payments under the plan and of a type for which a uniform reporting system has been established under section 1121 (a) to make reports to the Secretary of information described in such section in accordance with the uniform reporting system „ (established under such section) for that type of facility or organization.". (c)(1) The Secretary of Health, Education, and Welfare shall Consultation. establish the systems described in section 1121(a) of the Social Secu- 42 USC 1320a rity Act (added by subsection (a) of this section) only after consulta- note. tion with interested parties and— (A) for hospitals, skilled nursing facilities, and intermediate care facilities, not later than the end of the one-year period, and (B) for other types of health services facilities and organizations, not later than the end of the two-year period, beginning on the date of enactment of this Act. (2)(A) The amendments made by subsection (b) shall apply with Effective dates. respect to operations of a hospital, skilled nursing facility, or inter- 42 USC 1396a mediate care facility, on and after the first day of its first fiscal year note. which begins after the end of the six-month period beginning on the date a uniform reporting system is established (under section 1121(a) of the Social Security Act) for that type of health services facility. (B) The amendments made by subsection (b) shall apply, with respect to the operation of a health services facility or organization which is neither a hospital, a skilled nursing facility, nor an intermediate care facility, on and after the first day of its first fiscal year which begins after such date as the Secretary of Health, Education, and Welfare determines to be appropriate for the implementation of the reporting requirement for that type of facility or organization. (C) Except as provided in subparagraphs (A) and (B), the amendments made by subsection (b)(2) shall apply, with respect to State plans approved under title X IX of the Social Security Act, on and 42 USC 1396 after October 1, 1977. DELAY I N, AND WARTER OF, I M P O S m O N OF REDUCTION OF FEDERAL MEDICAL ASSISTANCE PERCENTAGE DUE TO A S T A T E ' S FAILURE TO HAVE A N EFFECTIVE MEDICAID UTILIZATION CONTROL PROGRAM

S E C 20. (a) Section 1903(g) of the Social Security Act is amended— 42 USC 1396b. (1) by striking out "With respect to" in the first sentence of paragraph (1) and inserting in lieu thereof "Subject to paragraph ' (3), with respect to"; (2) by striking out "by.331^^^^^. centum thereof" in paragraph per .... (1) and inserting in lieu thereoi by a per centum thereof (determined under paragraph (5)) "; (3) by inserting "timely" in paragraph (2) before "sample onsite surveys"; and (4) by adding after paragraph (2) the following new paragraphs: " (3)(A) No reduction in the Federal medical assistance percentage of a State otherwise required to be imposed under this subsection shall take effect—

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